Healthcare Provider Details

I. General information

NPI: 1245926088
Provider Name (Legal Business Name): GABRIEL ALUGBA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 S GEORGE NIGH EXPY
MCALESTER OK
74501-7143
US

IV. Provider business mailing address

350 ENGLE SREET
ENGLEWOOD NJ
07631
US

V. Phone/Fax

Practice location:
  • Phone: 918-423-8440
  • Fax:
Mailing address:
  • Phone: 201-894-3664
  • Fax: 201-894-0839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number47245
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: